Healthcare Provider Details

I. General information

NPI: 1760795561
Provider Name (Legal Business Name): LANCASTER DENTAL ARTS, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2010
Last Update Date: 04/17/2021
Certification Date: 04/17/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1555 HIGHLANDS DR SUITE 108
LITITZ PA
17543-2800
US

IV. Provider business mailing address

401 COMMERCE DRIVE SUITE 108
FORT WASHINGTON PA
19034
US

V. Phone/Fax

Practice location:
  • Phone: 215-550-4590
  • Fax:
Mailing address:
  • Phone: 215-550-4590
  • Fax: 215-646-6369

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDS-029417-L
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: BHASKAR SAVANI
Title or Position: OWNER
Credential: DMD
Phone: 215-550-4590